07D2105521 CLIA NUMBER - STAMFORD ASC, LLC

Laboratory Demographics

  • CLIA Code: 07D2105521
  • Facility Name: STAMFORD ASC, LLC
  • Facility Address: 200 FIRST STAMFORD PL
    STAMFORD, CT
    ZIP 06902
  • Facility Phone: 860 833-2375
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: EDWARD STAUNTON
  • NPI Number: 1962632661
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 07D2105521
LAB Type Ambulatory Surgery Center
Facility Name STAMFORD ASC, LLC
Street 200 FIRST STAMFORD PL
City STAMFORD
State CT
ZIP 06902
Phone 860 833-2375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Ambulatory Surgery Center
Lab Director EDWARD STAUNTON

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This page was last updated on: 9/29/2025